Diastasis of the rectus abdominis muscles consists of a separation of the abdominal muscles, and is one of the most frequent complaints postpartum. It usually appears mainly in the 3rd trimester of pregnancy and can persist after childbirth. With the increase in intra-abdominal pressure due to pregnancy, the tissue connecting these muscles becomes thinner and loses strength, thus separating. After pregnancy, it often does not return to normal, or as before, causing abdominal discomfort, body dissatisfaction, and even worsening self-esteem. It can appear in other situations or diseases basically related to increased pressure within the abdomen, such as obesity, and/or fragility of tissues in the abdominal wall, such as in individuals who have had many abdominal surgeries, and is often related to abdominal wall hernias such as umbilical hernias. It is rarer to be congenital, i.e., someone born with this condition, and it is important to remember that it can also appear in men. There is no objective definition of how much separation is normal and when it is considered pathological. Some studies show that a distance between these muscles of up to 2 cm is normal in the general population, but this does not prevent those with less than that from presenting symptoms. The most common symptom is abdominal discomfort, but it is also highly related to a worsening of quality of life due to changes in body image. It can also be related to back pain, urinary and fecal incontinence, and pelvic organ prolapse. The treatment can initially involve strengthening the abdominal wall muscles with targeted exercises and postural education. Girdles and binders can also be used, especially in postpartum prevention, or even after abdominal surgery to prevent recurrence of diastasis. Postpartum, it is advisable not to start exercises aimed at this strengthening before 6 weeks postpartum, and the opinion of the attending obstetrician should always be consulted before starting. Surgical treatment can be performed at least 6 months after childbirth, but preferably after breastfeeding has stopped. Surgery can be associated with abdominal dermolipectomy (abdominoplasty), and this association is often recommended to treat excess skin. Treatment can also be performed by laparoscopy or robotic surgery, but these are reserved for cases that do not have excess skin to be treated.

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diastasis consists of the separation of the

abdominal muscles and is one of the

most frequent complaints in the postpartum

period many women develop it

during the third trimester of pregnancy

and it ends up remaining after delivery because

of what happens

with the increase in internal tension, which can be caused by pregnancy, the tissue that connects these muscles becomes thinner and thinner,

losing strength and thus separating

after delivery it rarely

returns to normal and this diastasis can end up

causing discomfort.

Diastasis can also appear in men

and in other situations

or diseases normally related to the increased size of the abdomen,

combating obesity, related to abdominal wall fragility,

who have had surgeries sometimes it is

related to umbilical hernia and the cicatrix

and there is no objective measure for how much separation is

normal or when it is considered

pathological and some studies show it can be up to 2 cm

but this does not prevent people with less from having symptoms

what is the common treatment? The treatment

can also be strengthening the abdominal wall musculature with

directed cultural exercises

Elastic girdles and bands can be

used not really or even after

an abdominal region to prevent a recurrence of

diastasis postpartum it is advisable not to

start directed exercises for this before

six weeks postpartum and the opinion of the treating obstetrician

should always be consulted before starting

any activity

and surgical treatment can be

performed at least six months after

childbirth but preferably after stopping

breastfeeding surgery can be

associated with abdominal infection ah ah

appear often it is

recommended to combine it to be able to

treat excess skin also the

treatment can be performed by

laparoscopy and other more

needed cases reserved for

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